Individual
BRENT ASHLEY CHARLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2525 S LAMAR BLVD STE 8, AUSTIN, TX 78704-4759
(512) 534-8820
Mailing address
2525 S LAMAR BLVD STE 8, AUSTIN, TX 78704-4759
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC50571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC50571
LMFT LICENSE
CA
Enumeration date
11/14/2006
Last updated
07/16/2012
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